Individual
JEFFREY ALAN LEECH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
4050 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2522
(763) 236-6000
Mailing address
415 OAK GROVE ST APT 601, MINNEAPOLIS, MN 55403-3990
(612) 865-4393
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2403
MN
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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